NPIMap

Organization Active NPI

Toombs Nursing Home, LLC

Doing business as Toombs Nursing Home

  • Respite Care
  • Lyons, GA
National Provider Identifier
1548281140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
1-097-1672 Issued in GA
Legal business name
TOOMBS NURSING HOME, LLC
Doing business as
Toombs Nursing Home
Practice address
181 Oxley Dr
Lyons, GA 30436-5644
Phone
(912) 526-6336
Fax
(912) 526-3290
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Sheffield
Title
VP of Financial Reporting
Phone
(478) 621-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 1-097-1672 GA Primary

Addresses

Primary practice location

181 Oxley Dr
Lyons, GA 30436-5644

Mailing address

PO Box 352
Lyons, GA 30436-0352
Phone (912) 526-6336

Other identifiers 1

IdentifierTypeStateIssuer
00714174DMedicaidGA

Other names 1

  • Toombs Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Toombs Nursing Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548281140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304360352",
            "telephone_number": "912-526-6336",
            "fax_number": "912-526-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OXLEY DR",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304365644",
            "telephone_number": "912-526-6336",
            "fax_number": "912-526-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOMBS NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "VP OF FINANCIAL REPORTING",
        "authorized_official_telephone_number": "478-621-2100"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "1-097-1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00714174D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toombs Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyons, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.